Aspiration pneumonia is a major cause of morbidity and mortality among older people who are hospitalized or in nursing homes. Multiple risk factors for pneumonia were identified, but no research has not effectively compared the relative risk factors in different categories, including dysphagia. In a prospective study results, 189 elderly patients were recruited from clinics, inpatient acute care wards, and nursing home in the center of VA Medical Center in Ann Arbor, Michigan. They have different assessments to determine oropharyngeal and esophageal swallowing and feeding status, functional status, medical condition, and oral / dental status. Examinees for up to 4 years of proven results of aspiration pneumonia. Two-dimensional analysis revealed several factors as significantly associated with pneumonia. Logistic regression analysis, we identify significant predictors of aspiration pneumonia. Best precursors, one or more clusters, dependent for feeding, according to oral care, number of damaged teeth, food probe, more than one medical diagnosis, the number of drugs and smoking. The role that each of the important predictors might play was described in connection with the pathogenesis aspiration pneumonia. Dysphagia was concluded significant risk of aspiration pneumonia, but generally not enough to cause pneumonia unless other risk factors are present as well. Dependence on others for feeding become dominant risk factor, with odds strattera 25mg ratio of 19. 98 in the logistic regression model that excluded tube-fed patients. .
No comments:
Post a Comment